Licensed Clinician LCSW- Case and Utilization Management Specialist

6 days ago


Norwich, Connecticut, United States The ARRA Group Full time
Job Title:

Licensed Clinician LCSW- Case and Utilization Management

Job Summary:

The ARRA Group is seeking a skilled and dedicated Licensed Clinician LCSW- Case and Utilization Management to provide utilization and case management services in the Emergency Department setting.

Responsibilities:
  • Conduct concurrent utilization reviews to assess the medical necessity and appropriateness of psychiatric admissions, treatment modalities, and lengths of stay, per regulatory guidelines and payer requirements.
  • Advocate for patients' access to appropriate levels of care and coordinate referrals to community-based resources, including outpatient mental health services, substance abuse treatment programs, and social support services.
  • Provide crisis intervention, brief counseling, and supportive services to patients and their families to address immediate needs and facilitate linkage to ongoing care upon discharge from the Emergency Department.
  • Collaborate with insurance companies, managed care organizations, and external review agencies to facilitate authorization for psychiatric services, address utilization management issues, and ensure compliance with reimbursement criteria.
  • Document all utilization and case management activities accurately and in a timely manner, utilizing electronic health record systems and other documentation tools as required by organizational policies and regulatory standards.
Requirements:
  • Master's degree in Social Work (MSW) from an accredited program.
  • Current licensure as a Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or Licensed Marriage and Family Therapist (LMFT) in the state of Connecticut.
Why You'll Love It:
  • Competitive salary commensurate with experience.
  • Comprehensive benefits package including medical, dental, and vision insurance.
  • Retirement savings plan with employer-matching.
  • Paid time off (vacation, sick leave, holidays).
  • Continuing education allowance and opportunities for professional development.
  • A supportive work environment with opportunities for growth and advancement.


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